Summary
In this study, the current status for breast diseases in a region with high-incidence of cervical cancer were epidemiologically investigated. From March to August, 2009, 17618 women, from Wufeng area of Hubei province, China, were recruited to screen breast diseases by using breast infrared diagnostic apparatus. Other diagnostic methods, such as B-mode ultrasound, X-ray mammography, needle biopsy and pathological examination were, if necessary, used to further confirm the diagnosis. The screening showed that 5990 of 17618 cases (34.00%) had breast diseases, 5843 (33.16%) had mammary gland hyperplasia, 48 (0.27%) had breast fibroadenoma, 11 (0.06%) had breast carcinoma, and 88 (0.50%) had other breast diseases. The peak morbidity of breast cancer was found in the women aged 50-60 ages. The morbidity of breast cancer was significantly increased in women elder than or equal to 50 years old (n=8, 0.157%) in comparison with that in the subjects younger than 50 years old (n=3, 0.024%) (u=2.327, P<0.05). It was shown that the occurrence of breast diseases was concentrated in women aged 20–40 years, while the total morbidity reached its peak at the age of 30 years and then decreased sharply after age of 40. Compared with the patients elder than or equal to 40 years old (n=3289, 27.46%), the morbidity rate of breast diseases was significantly increased in women less than 40 years old (2648 cases, 47.18%; P<0.001). However, there was no significant difference in the morbidity of breast diseases between the age group of 20–29 years and that of 30–39 years (P=0.453), and both of them were high. There was no significant association between the morbidity of breast diseases and cervical cancer. Since the morbidity of breast diseases was higher among young women, more attention should be paid to the screening of breast diseases among young women for early diagnosis.
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References
Sima N, Cai L, Zhu Y, et al. Relationship between the expression of telomerase and human papillomavirus infection in invasive uterine cervical carcinoma. J Huazhong Univ Sci Technolog [Med Sci], 2007,27(4):451–453
Parkin DM, Bray FI, Devesa SS, et al. Cancer burden in the year 2000: the global picture. Eur J Cancer, 2001,37(Suppl 8):S4–S66
Cao ZY. Chinese Obstetrics and Gynecology. 2th ed. People’s Medical Publishing House (Chinese), 2004. 2012–2021
Sankaranarayanan R, Nene BM, Shastri SS, et al. HPV screening for cervical cancer in rural India. N Engl J Med, 2009,360(14):1385–1394.
Tabar L, Yen MF, Vitak B, et al. Mammography service screening and mortality in breast cancer patients: 20-year follow-up before and after introduction of screening. Lancet, 2003,361(9367):1405–1410
Cibula D, Gompel A, Mueck AO, et al. Hormonal contraception and risk of cancer. Hum Reprod Update, 2010, 16(6):631–650
Wu ZD. Surgery. 6th ed. Beijing People’s Publishing House (Chinese), 2004.325–332
Rong SD, Chen W, Wu LY, et al. Analysis of risk factors for cervical cancer in Xiangyuan County, Shanxi Province. Chin J Prevent Med (Chinese), 2002,36(01):41–43
Shi LH, Zhang XY, Cao SW, et al. General investigation on 4752 women with breast diseases. Matern Child Health Care Chin (Chinese), 2009,24(13):1827–1828
Ma XY, Zhang L, Yel L, et al. Analysis on the gynecologic overall checkup result of 2771 different professional women. Matern Child Health Care Chin (Chinese), 2006,21(8):1116–1118
Zhou SM. Screening reproductive tract disorders and breast illness among married rural women in Huaying City. Chin J Reprod Health (Chinese), 2008,19(2):79–81
He RH, Zhao ZH, Zhang M. Mammography screening analysis of 3436 women in Putuo district Shanghai. Shanghai Med Imaging (Chinese), 2005,14(02):137–139
Bian YH, Gu YF, Ma FY. General screening for breast disease among 3000 women in Wuxi, Jiangsu province. Matern Child Health Care Chin (Chinese), 2007,22(30): 4285–4286
Xiao XZ. The Situation Analysis on 3006 Example Woman Mastopathy. Guangdong Trace Elem Sci (Chinese), 2007,14(5):64–67
Xiao X, Yang W, Li QB. Analysis of 3172 cases gynecologic census results. Maternd Child Health Care of Chin (Chinese), 2008,23(15):2064–2066
Xiang W, Zhao FH, Shi JF, et al. Feasibility of packaging screening for cervical cancer, breast cancer, and reproductive tract infection in a rural area in China. Acta Acade Med Sin (Chinese), 2009,31(05): 616–619
Page DL. The woman at high risk for breast cancer importance of hyperplasia. Surg Clin North Am, 1996,76(2): 221–230
Hartmann LC, Sellers TA, Frost MH, et al. Benign breast disease and the risk of breast cancer. N Engl J Med, 2005, 353(3):229–237
Worsham MJ, Raju U, Lu M, et al. Multiplicity of benign breast lesions is a risk factor for progression to breast cancer. Clin Cancer Res, 2007,13:5474–5479
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The two authors contributed equally to this work.
This project was supported by grants from the foundation of Key Basic Research and Development Program of China (Program 973) (No. 2009CB521808) and National Major Science and Technology Project (Key New Drug Creation and Development Program) (No. 2009ZX09103-739), National Natural Science Foundation of China (No. 30973472, 81001151, 81071663, 30973205, 30973184, 81101964).
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Zhang, Q., Liu, D., Hang, C. et al. Primary screening for breast diseases among 17618 women in Wufeng area, a region with high incidence of cervical cancer in China. J. Huazhong Univ. Sci. Technol. [Med. Sci.] 32, 252–256 (2012). https://doi.org/10.1007/s11596-012-0045-3
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DOI: https://doi.org/10.1007/s11596-012-0045-3